If you would prefer to fax your order to us at Preisner Pewter, please complete the form below and fax it to us directly at 508-892-9745.

If you prefer to send your order to us, please complete the form below and send it along with payment (check, certified check, or credit card) to us directly at:

Preisner Pewter
P.O. Box 400
1030A Stafford Street
Rochdale, MA 01542


Exclusively Sold Through Progressive Pro/Caterer's Warehouse, Inc.
PREISNER PEWTER PRINTER FRIENDLY FAX ORDER FORM
FAX TO (508) 892-9745

  Name: ___________________________________

  Company:_________________________________

  Address:__________________________________

  City: ____________________________________

  State, Zip Code: ____________________________

  E-mail: ___________________________________


  Name: ___________________________________

  Company:_________________________________

  Address:__________________________________

  City: ____________________________________

  State, Zip Code: ____________________________

  E-mail: ___________________________________


  Your Name: _______________________________

  Phone: ___________________________________

  Date: ____________________________________

  P.O. Number: ______________________________


For Credit Card Orders, Please fill in
the information below.


Name On Credit Card: ________________________

Credit Card #: ______________________________

Expiration: _____________CID Code:____________

Signature: _________________________________

Special Shiping Instructions:


QTY.

UNIT

ITEM NO.

    DESCRIPTION    

UNIT PRICE

TOTAL COST






















































+ 6.25% Sales Tax

MINIMUM ORDER CHARGE - Less than $100.00 Order, add $15.00

TOTAL